DR. CANDICE LIU POLLARD (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1104404177

DR. CANDICE LIU POLLARD (MD) is a healthcare provider. based in Benton city, Washington. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD.MD.61570197 (WA). The NPI Number for DR. CANDICE LIU POLLARD (MD) is 1104404177

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE LIU POLLARD (MD)
NPI
1104404177
Phone
(509) 588-4075
Address
701 DALE AVE
Enumeration Date
31 March 2021
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5095884075
Graduation Year
2021 (5 years ago)
PAC ID
1658710405
Group Practice PAC ID
6709787872
Professional Enrollment ID
I20260218001883
Address ID
WA993205250BE701XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

107 GERIATRIC MEDICINE in WA

Provider Addresses for DR. CANDICE LIU POLLARD (MD)

  • 701 DALE AVE

    BENTON CITY, WA 993205250

    Phone: (509) 588-4075

    Type: Mailing

  • 320 W 10TH AVE STE 202

    KENNEWICK, WA 993366302

    Phone: (509) 221-5520

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($29).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260218001883IGeriatric MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709787872View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Family PracticeWA
Emergency MedicineWA
Nurse PractitionerWA
Certified Nurse Midwife (Cnm)WA
Family PracticeWA
N E P H R O L O G YWA
Internal MedicineIN
Nurse PractitionerWA
Cardiovascular Disease (Cardiology)WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CANDICE LIU POLLARD (MD)?
DR. CANDICE LIU POLLARD (MD) — NPI 1104404177 — is the standard way to identify this listing.
Does the file indicate DR. CANDICE LIU POLLARD (MD) is practicing under active NPI?
Directory data currently reports DR. CANDICE LIU POLLARD (MD) as active.
What taxonomy line describes DR. CANDICE LIU POLLARD (MD)?
For research purposes, treat DR. CANDICE LIU POLLARD (MD) as Geriatric Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. CANDICE LIU POLLARD (MD) based?
DR. CANDICE LIU POLLARD (MD) is tied to Benton City, Washington in the data we show; additional addresses may exist on the full record.
Why does DR. CANDICE LIU POLLARD (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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